HomeMy WebLinkAboutR 2015-360-E Aging - Dan Eubanks, Sr., for Senior Center instructor DocuSign Envelope ID: FODCEA3D-3D3B-4F1C-A2CE-98B2A861A30E
ORANGE COUNTY—DEPARTMENT USE ONLY
Department
Party/Vendor Name: Dan Eubanks Sr. Party/Vendor Contact Person: Contact Phone: Aging Party/Vendor
Address: 2300 Judah Benjamin Court City Hillsborough State:NC Zip: 27278 Department: Aging Amount: $990.00
Purpose: senior center instructor Budget Code(s): 10430120-629000 Vendor#62349 (N/A if new vendor) Vendor
is a BOCC consultant? Yes ❑ No❑ Contract Type: (Check one)New ❑ Renewal ® Amendment ❑ Effective
Date July 22,2015 Approved by Board Yes❑No❑ Agenda Date:
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This agreement is approved as to technical form and content: i
DocuSigned by:
Department Director's Signature AIiLtU_ �d V Date: 7/27/2015
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Information Technologies
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(Applicable only to hafdware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
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Risk Management '
This agreement is approved for sufficiency of insurance standards,specifications,and requirements:
DocuSigned""by:''�
Office of the Risk Management Officer PCs& 66vvt,e 6 Date: 7/27/2015
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Financial Services
This instrument has been pre-audited in the planner re uired by the Local Government Budget and Fiscal Control Act:
DocuSigned byq.
Office of the Chief Financial Officer �&(At 61V' Date: 7/28/2015
232DFFC2CFA847B... �
Legal Services
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This agreement is approved as to legal form and sufficiency:
gned by:
Office of the County Attorney DocuSi Date:7/28/2015
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Clerk to the Board '
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Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd(a(a�oran e,� count ny c• og_v I"
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
Revised 10/14 4